JUNCTIONAL RHYTHM
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  • R-R interval is regular
  • QRS rate is decreased (rate of junctional rhythm is 50-90/min in infants and 50-70/min in children)
  • QRS duration is normal
  • Sinus P rate is less than the QRS rate with AV dissociation
  • Retrograde"P wave (axis 270o to 359o) follows some or all QRS complexes with R-P interval < 0.30 sec
  • Alternation between sinus rhythm and junctional rhythm is common

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  • Complete AV block
  • Supraventricular tachycardia
  • Premature atrial contraction